Mechanical Contractor Application/renewal Notice - City Of Sulphur printable pdf download

RDS

Attn: City of Sulphur License Renewal

9618 Jefferson Highway, Suite D #334

Baton Rouge, LA 70809

Phone: 800-556-7274

Fax: 844-528-6529

YEAR _________CITY OF SULPHUR (1680) MECHANICAL CONTRACTOR

APPLICATION/RENEWAL NOTICE

Please complete this application and return along with your payment

Current Date: _____________________

RDS Account Number: _____________________

Business Name:____________________________________

Check here if you no longer operate in the City.

Business Address: __________________________________

Return Date Discontinued: _______/_____/_____.

_________________________________________________

Please return form to RDS.

Dear Business Owner,

This document serves as an application/renewal notice for your Mechanical Contractor License. Please note that the license

will expire December 31 of the year the license was issued.

**Please note that this is not to obtain your occupational license. If you are in business for yourself, a contractor or subcontractor,

and your business is located in the City Limits of Sulphur, you will need an occupational license in addition to your mechanical

contractor’s license.

PLEASE ANSWER THE FOLLOWING QUESTIONS

SEE BACK FOR REQUIREMENTS

YES

( )

(

)

Have you attached copies of all documents listed on the CONTRACTOR CERTIFICATION CHECKLIST?

( )

(

)

Is your business located in the City limits of Sulphur? If so, you must purchase an Occupational

License in addition to the Mechanical Contractor License. See Fee Schedule at

for

details.

( )

(

)

Please attach a copy of your Louisiana State License or your Lake Charles mechanical license.

FEES

MECHANICAL CONTRACTOR LICENSE

$50.00

Calculate Mechanical License Fee Instructions:

Schedule: 999999.98 Mechanical Contractor

Step 1. Fee:

$ 50.00 __________

Step 2. Total Remittance:

$________________

Make check payable to “Tax Trust Account.” Remit payment to

RDS. Attn: City of Sulphur License Renewal,

9618 Jefferson Highway, Suite D #334, Baton Rouge, LA 70809

Signature of Applicant: _________________________________________ Title:__________________Date: ________________

Print Name of Applicant: ________________________________________ Telephone: _________________________________

Returned Check Disclaimer: Effective July 1, 2010, each returned item received by RDS due to insufficient funds will be electronically represented to the presenters’ bank no more than

two times in an effort to obtain payment. RDS is not responsible for any additional bank fees that will accrue due to the resubmission of the returned item. Please see the full returned

check policy at /taxpayer/return-check-disclaimer.

Mechanical Contractor Application/renewal Notice - City Of Sulphur

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